Deets, Matthew John

Deets, Matthew John is an individual health care provider with primary practice located at 741 N 1St St , Wausau WI 54403-4721. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Deets, Matthew John can be contacted via phone (715) 675-3458.

Contact Information

Primary practice address
741 N 1St St Wausau WI 54403-4721
Phone: (715) 675-3458
Fax: (715) 675-7238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1801-226 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 5814-125 Wisconsin

Profile Details

NPI number 1558759522
LBN Legal business name Deets, Matthew John
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2014
Last updated Nov 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558759522 NPPES
Wisconsin Other 5814-125 STATE LICENSE
Wisconsin Other 1801-226 STATE LICENSE

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